Provider Demographics
NPI:1902149511
Name:VARAS, BRIANNA RUIZ (MD)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:RUIZ
Last Name:VARAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 SW 62ND PL
Mailing Address - Street 2:PENTHOUSE- WEST
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4806
Mailing Address - Country:US
Mailing Address - Phone:305-661-1962
Mailing Address - Fax:
Practice Address - Street 1:7300 SW 62ND PL
Practice Address - Street 2:PENTHOUSE- WEST
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4806
Practice Address - Country:US
Practice Address - Phone:305-661-1962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127371208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics